Outcomes on 287 Patients with Complex Abdominal Wall Defects Undergoing Abdominal Wall Reconstruction with a Porcine-Derived Acellular Matrix
Overall, most patients undergoing CAWR electively or in emergency settings have excellent outcomes with a recurrence rate of 3.5% at two years. High-risk patients for recurrence and mortality are those requiring damage control laparotomy (DCL) during the index emergency operation, fistula take-down, intestinal resection, patient undergoing extensive lysis of adhesions and have a BMI >35kg/m2. Furthermore, patients who have a CDC wound class of III/IV have higher rates of perioperative complications, including the need for reoperation and increased hospital length of stay.
Authors
- Shekhar Gogna (ORCID: https://orcid.org/0000-0002-4075-9674)
- James W. Choi (ORCID: https://orcid.org/0000-0002-2884-7778)
- Rifat Latifi (ORCID: https://orcid.org/0000-0003-1091-3682)
- Kartik Prabhakaran (ORCID: https://orcid.org/0000-0002-9837-999X)
- Matthew McGuirk
- Kenji Okumura (ORCID: https://orcid.org/0000-0002-7751-2624)
- David J Samson
Institutions
- Westchester Medical Center (US)
- University of Arizona (US)
- New York Medical College (US)
- Signature Healthcare Brockton Hospital (US)
- Tucson Medical Center (US)
- MedStar Georgetown University Hospital (US)
Publication Details
- Journal
- Surgical Technology Online
- Published
- 2025-03-18
- DOI
- https://doi.org/10.52198/25.sti.45.hr1800
- Citations
- 1
- Primary Topic
- Hernia repair and management
- Type
- article
- Field-Weighted Citation Impact
- 2.01